Integrated therapeutic approach to giant solitary fibrous tumor of the pleura: report of a case and review of the literature

The fibrous tumors of the pleura are rare primary tumors, accounting for 5% of malignant pleural neoplasms, which generally originate from sub-mesothelial mesenchymal tissue of the visceral pleura. These tumours generally exhibit clinical benign behavior although 12% of solitary fibrous tumors can b...

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Main Authors: Perrotta Fabio, Cerqua Francesco Saverio, Cammarata Antonino, Izzo Alessandro, Bergaminelli Carlo, Curcio Carlo, Guarino Carmine, Grella Edoardo, Forzano Imma, Cennamo Antonio, Tafuri Domenico, Rocca Aldo, Bianco Andrea, Mazzarella Gennaro
Format: Article
Language:English
Published: De Gruyter 2016-01-01
Series:Open Medicine
Subjects:
Online Access:https://doi.org/10.1515/med-2016-0042
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author Perrotta Fabio
Cerqua Francesco Saverio
Cammarata Antonino
Izzo Alessandro
Bergaminelli Carlo
Curcio Carlo
Guarino Carmine
Grella Edoardo
Forzano Imma
Cennamo Antonio
Tafuri Domenico
Rocca Aldo
Bianco Andrea
Mazzarella Gennaro
author_facet Perrotta Fabio
Cerqua Francesco Saverio
Cammarata Antonino
Izzo Alessandro
Bergaminelli Carlo
Curcio Carlo
Guarino Carmine
Grella Edoardo
Forzano Imma
Cennamo Antonio
Tafuri Domenico
Rocca Aldo
Bianco Andrea
Mazzarella Gennaro
author_sort Perrotta Fabio
collection DOAJ
description The fibrous tumors of the pleura are rare primary tumors, accounting for 5% of malignant pleural neoplasms, which generally originate from sub-mesothelial mesenchymal tissue of the visceral pleura. These tumours generally exhibit clinical benign behavior although 12% of solitary fibrous tumors can be malignant and have worse outcomes. These tumors are considered “giant” when the lesion > 15 cm. Surgical treatment is the best choice for both benign and malignant neoplasms. We retrospectively analyzed the main case series of giant fibrous tumors of the pleura. In addition we report our experience of a 76-year-old woman treated by pre-surgical embolization involving implantation of vascular plugs. Surgery was successfully carried out without complications; imaging and functional assessment 6 months post intervention demonstrated both the absence of recurrence and improvement of lung function parameters.
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spelling doaj.art-d2fe0c8d1efd4e7ba4c3e3f2da16556f2022-12-21T21:56:10ZengDe GruyterOpen Medicine2391-54632016-01-0111122022510.1515/med-2016-0042med-2016-0042Integrated therapeutic approach to giant solitary fibrous tumor of the pleura: report of a case and review of the literaturePerrotta Fabio0Cerqua Francesco Saverio1Cammarata Antonino2Izzo Alessandro3Bergaminelli Carlo4Curcio Carlo5Guarino Carmine6Grella Edoardo7Forzano Imma8Cennamo Antonio9Tafuri Domenico10Rocca Aldo11Bianco Andrea12Mazzarella Gennaro13Department of Cardiotho-racic and Respiratory Sciences, Second University of Naples/Hosp. Monaldi, Naples, ItalyDepartment of Cardiothoracic and Respiratory Sciences, Second University of Naples/Hosp. Monaldi, Naples, ItalyDepartment of Cardiothoracic and Respiratory Sciences, Second University of Naples/Hosp. Monaldi, Naples, ItalyDepartment of Cardiothoracic and Respiratory Sciences, Second University of Naples/Hosp. Monaldi, Naples, ItalyA.O. dei Colli – Hosp. Monaldi – Thoracic Surgery Unit, Naples, ItalyA.O. dei Colli – Hosp. Monaldi – Thoracic Surgery Unit, Naples, ItalyA.O. dei Colli – Hosp. Monaldi – Bronchology Unit, Naples, ItalyDepartment of Cardiothoracic and Respiratory Sciences, Second University of Naples/Hosp. Monaldi, Naples, ItalyDepartment of Cardiothoracic and Respiratory Sciences, Second University of Naples/Hosp. Monaldi, Naples, ItalyDepartment of Cardiothoracic and Respiratory Sciences, Second University of Naples/Hosp. Monaldi, Naples, ItalyDepartment of Sport Sciences and Wellness, University of Naples “Parthenope”, Naples, ItalyDepartment of Medicine and Health Sciences “Vincenzo Tiberio”, University of Molise, Campobasso, ItalyDepartment of Cardiothoracic and Respiratory Sciences, Second University of Naples/Hosp. Monaldi, Naples, ItalyDepartment of Cardiothoracic and Respiratory Sciences, Second University of Naples/Hosp. Monaldi, Naples, ItalyThe fibrous tumors of the pleura are rare primary tumors, accounting for 5% of malignant pleural neoplasms, which generally originate from sub-mesothelial mesenchymal tissue of the visceral pleura. These tumours generally exhibit clinical benign behavior although 12% of solitary fibrous tumors can be malignant and have worse outcomes. These tumors are considered “giant” when the lesion > 15 cm. Surgical treatment is the best choice for both benign and malignant neoplasms. We retrospectively analyzed the main case series of giant fibrous tumors of the pleura. In addition we report our experience of a 76-year-old woman treated by pre-surgical embolization involving implantation of vascular plugs. Surgery was successfully carried out without complications; imaging and functional assessment 6 months post intervention demonstrated both the absence of recurrence and improvement of lung function parameters.https://doi.org/10.1515/med-2016-0042solitary fibrous tumor of the pleura (sftp)surgical treatmentembolizationgiant tumors
spellingShingle Perrotta Fabio
Cerqua Francesco Saverio
Cammarata Antonino
Izzo Alessandro
Bergaminelli Carlo
Curcio Carlo
Guarino Carmine
Grella Edoardo
Forzano Imma
Cennamo Antonio
Tafuri Domenico
Rocca Aldo
Bianco Andrea
Mazzarella Gennaro
Integrated therapeutic approach to giant solitary fibrous tumor of the pleura: report of a case and review of the literature
Open Medicine
solitary fibrous tumor of the pleura (sftp)
surgical treatment
embolization
giant tumors
title Integrated therapeutic approach to giant solitary fibrous tumor of the pleura: report of a case and review of the literature
title_full Integrated therapeutic approach to giant solitary fibrous tumor of the pleura: report of a case and review of the literature
title_fullStr Integrated therapeutic approach to giant solitary fibrous tumor of the pleura: report of a case and review of the literature
title_full_unstemmed Integrated therapeutic approach to giant solitary fibrous tumor of the pleura: report of a case and review of the literature
title_short Integrated therapeutic approach to giant solitary fibrous tumor of the pleura: report of a case and review of the literature
title_sort integrated therapeutic approach to giant solitary fibrous tumor of the pleura report of a case and review of the literature
topic solitary fibrous tumor of the pleura (sftp)
surgical treatment
embolization
giant tumors
url https://doi.org/10.1515/med-2016-0042
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